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BLD20100654 PERMIT DOCSlu IIII��III oV E�o�� CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED 10/10/2011 Expiration Date: 10/10/2012 Parcel No: 00576700001410 .4 O'REILLY AUTO PARTS CM ARCHITECTS G M NORTHRUP CORPORATION SHIOMI INVESTMENTS LLC JESSICA IVERSON 15950 Franklin Trail Se 9001 NE 37TH PL 219 N 2ND ST, SUITE 301 Prior Lake, MN 55372 BELLEVUE, WA 98004- MINNEAPOLIS, MN 55401- (612)547-1374 (952)226-3091 LICENSE #: GMNORC*033MM EXP:12/4/2011 NEW AUTO PARTS STORE VALUATION: $787,500.00 PERMIT TYPE: Commercial PERMIT GROUP: 45 - New Commercial GRADING: N CYDS: 762 TYPE OF CONSTRUCTION: VB RETAINING WALL ROCKERY: N OCCUPANT GROUP: M OCCUPANT LOAD: 122 FENCE: N 0 X 0 FT. CODE: 2009 OTHER: N ----- OTHER DESC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1 ST FLOOR: 7500 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 FRONT SETBACK ZE UIRED: PROPOSED: I RE MIRED: PROPOSED: RE UIRED: PROPOSED: 3EIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED: SETBACK NOTES: I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. LIS14PLICATION IS,IV//OT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUT)(4AND ALL FEES ARE PAID, Released ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10. ONLINE APPLICANT ASSESSORow OTHER STATUS: ISSUED • Plumbing, Mechanical and gas piping are included in this permit. • Separate Permit Required For: Signage, Side Sewer, Right of Way • Light poles in parking lot cannot be taller than 25 feet. • SPECIAL INSPECTIONS ARE REQUIRED FOR THE FOLLOWING: • Excavation, Grading, and Site Preparation • Placement of Structural Fill and Compaction • Soil Bearing Verification • Foundation Drainage Installation BLD20100654 • Concrete Construction, Including Reinforcement • Concrete Anchor Installation • Structural Steel Fabrication and Erection, Including High -Strength Bolting Prior to Final Inspection by the Building Division, Final Special Inspection Reports are Required From All Special Inspectors. • Submit Special Inspection Field reports on a weekly basis to the City Building Department. • Lot line stakes must be in place at the time of foundation/setback inspection. • All new, extended, re -built or relocated electrical utility and/or service shall be placed underground. • Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309 • *Pre -inspection required. • *Street to be cleaned of debris. • *Side sewer must be capped at property line. • *Water Service must be disconnected from Water meter and or hose bib with AVB installed. • *Dump at approved dump site only. • *See demolition inspection checklist on back of job card for inspection requirements. • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure. Check the job card for all required City inspections including final project approval and final occupancy inspections. • Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable. • Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. • Refer to City of Edmonds Water service line handout for approved pipe materials, inspections and other requirements. • 48 hours notice is required when requesting your FINAL Engineering Inspection. 425-771-0220, ext.1326. • Maintain erosion & sedimentation control per city standards. • Maintain 10"""" separation between the sanitary side sewer and the water service line. • Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. • Owner/Contractor to provide Water Service Line asbuilt at final inspection. See City Standards for requirements. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE • • PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1 PUBLIC WORKS 425) 771-0235 1 PRE-TREATMENT 425) 672-5755 1 RECYCLING 425 275-4801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. • E -Pre -Con • E -Erosion Control/Mobilization • E -Storm Tightline • E -Storm Detention System • E -Parking Lot Signs • E -Footing Drain Connection • E -Footing Drain TL Conveyance • E -Water Service Purity, >2" • E -Water Service Line • E -Double Check Detector Assem Vault • E -Fire Hydrant Install/Thrust Block • E -Fire Hydrant Pavement Marking • E -Access Slope & Width Verification • E -Pavement Subgrade • E -Pavement Compaction Test Report • E -Pavement Striping • B -Retaining Wall Forms/Location • E -Retaining Wall Drainage • E -Fence Location/Height • E-Fire/Aid Address Sign • E -Trash Enclosure • E -Hydrant Storz Adaptor • E -Engineering Final B -P reconstruction meeting • B -Setbacks • B -Footings • B -Foundation Wall • B -Isolated Footings/Piers • B -Retaining Wall • B -Slab Insulation • B -Plumb Ground Work • B -Plumb Rough In • B -Gas Test/Pipe • B-Equipment-Mech • B -Exterior Sheathing • B -Exterior Gypsum Sheathing • B -Ceiling Grid • B -Height Verification • B -Framing • B -Wall Insulation/Caulk • B -Ceiling Insulation/Caulk • B-Sheetrock Nail • B -Building Final • F -Extinguishers • F -Fire Dept Inspection • F -Addressing Visibility • F -Fire Final • P -Planning Final • SOV EDV Inspection Comments BLD20100654 45 - New Commercial Applied: 09/13/2010 Issued: 10/10/2011 Expires: 10/10/2012 Address: 23005 HIGHWAY 99, EDMONDS ;INSPECTION DATE INSPECTOR ACTION. 1000 - E -Pre -Con 10/19/2011 ZULAUF CMP Comment: Done. See attached Pre -Con Meeting notes. 1001 - E -Erosion Control/Mobilization 10/18/2011 ZULAUF COM Comment: tesc measures installed 1001 - E -Erosion Control/Mobilization 11/03/2011 ZULAUF COM Comment: tesc ok 1001 - E -Erosion Control/Mobilization 11/15/2011 MCCONNELL COM Comment: Need to refresh rock entrance, too much dirt on Hwy 99. Need to fully compact trench and sidewalk patch on 230th. Clear storm flow line. 1001 - E -Erosion Control/Mobilization 11/16/2011 ZULAUF COR Comment: No corrections made to rock entrance and 230th. See CN 1001 - E -Erosion Control/Mobilization 11/17/2011 ZULAUF COR Comment: Stop Work and NOV issued. No corrections had been made to the erosion and sediment control issues. 1001 - E -Erosion Control/Mobilization 11/18/2011 SIBREL COM Comment: tesc ok-see pics in address file 1001 - E -Erosion Control/Mobilization 11/30/2011 ZULAUF COM Comment: tesc ok 1001 - E -Erosion Control/Mobilization 12/05/2011 ZULAUF COM Comment: tesc ok 1001 - E -Erosion Control/Mobilization 12/30/2011 ZULAUF COM Comment: tesc ok 1001 - E -Erosion Control/Mobilization 02/16/2012 ZULAUF CMP Comment: ok to final 1013 - E -Storm Tightline 11/30/2011 ZULAUF PAR Comment: tightline installed along back wall ok to backfill 1013 - E -Storm Tightline 02/06/2012 ZULAUF CMP Comment: tightline from building to connection to detention system. 1014 - On Site Storm Conveyance 12/01/2011 ZULAUF PAR Comment: partial storm connected to detention. 1014 - On Site Storm Conveyance 12/02/2011 MCCONNELL PAR Comment: Partial, see plans. 3/12/2012 12:55:13 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 5 INSPECTION DATE INSPECTOR ACTION 1014 - On Site Storm Conveyance 12/02/2011 SIBREL PAR Comment: Partial -see plans 1014 - On Site Storm Conveyance 12/05/2011 ZULAUF CMP Comment: partial, see plans 1015 - E -Storm Detention System 11/15/2011 MCCONNELL PAR Comment: Partial - okay to backfill 96" CMP detention pipe. (2) 7/8" orifcices verified on control tee. 1015 - E -Storm Detention System 11/17/2011 ZULAUF CMP Comment: connect to manhole at property line 1016 - E -Parking Lot Signs 09/26/2011 ZULAUF COM Comment: Signs required on building stating "No Work On Vehicles" 1016 - E -Parking Lot Signs 02/16/2012 ZULAUF CMP Comment: done 1017 - E -Footing Drain Connection 11/30/2011 ZULAUF CMP Comment: connected at building and connected to storm line after detention outfall. 1032 - E -Water Service Purity, >2" 02/07/2012 ZULAUF CMP Comment: Linda says not needed. 1034 - E -Water Service Line 12/02/2011 MCCONNELL PAR Comment: Partial, ok to backfill. Not connected at building. 1034 - E -Water Service Line 12/05/2011 ZULAUF CMP Comment: connection at building ok to b/f 1036 - E -Double Check Detector Assem Vault 02/07/2012 ZULAUF CMP Comment: installed 1041 - E -Fire Hydrant Install/Thrust Block 12/12/2011 ZULAUF COM Comment: Tapped City Main, swabbed pipe, pinned thrust block installed. 1041 - E -Fire Hydrant Install/Thrust Block 02/17/2012 ZULAUF CMP Comment: ok to final 1043 - E -Fire Hydrant Pavement Marking 02/17/2012 ZULAUF CMP Comment: PW's will install during other related work 1048 - E -Access Slope & Width Verification 12/28/2011 ZULAUF CMP Comment: slope/width ok 1049 - E -Pavement Subgrade 02/17/2012 ZULAUF CMP Comment: ok 1050 - E -Pavement Compaction Test Report 02/17/2012 ZULAUF CMP Comment: received testing reports 1051 - E -Pavement Striping 02/17/2012 ZULAUF CMP Comment: done 1059 - E -Fence Location/Height 02/17/2012 ZULAUF CMP Comment: ok-no change 3/12/2012 12:55:13 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 2 of 5 • 0 INSPECTION DATE INSPECTOR ACTION 1060 - E-Fire/Aid Address Sign 02/17/2012 ZULAUF CMP Comment: installed to pour 1110 - B -Foundation Wall 1075 - E -Trash Enclosure 02/08/2012 ZULAUF COM Comment: Need to put metal sleeves in pin holes. 1110 - B -Foundation Wall 1075 - E -Trash Enclosure 02/17/2012 ZULAUF CMP Comment: Pins installed-ok to final 1112 - B -Foundation Drainage 1076 - E -Hydrant Storz Adaptor 02/07/2012 ZULAUF CMP Comment: installed 1114 - B -Isolated Footings/Piers 1077 - E -Engineering Final 09/26/2011 ZULAUF COM Comment: Add Final Sidewalk and Street Disruption Fees Prior to Sign Off. 1077 - E -Engineering Final 02/17/2012 ZULAUF CMP Comment: ok to final. 1101 - B-Preconstruction meeting 10/10/2011 LAWLER CMP Comment: 1106 - B -Setbacks 02/16/2012 LAWLER CMP Comment: Per survey 1108 - B -Footings 11/15/2011 STEINIKE PAR Comment: Subject to min. Clearance and special inspector approval. North and east side only. 1108 - B -Footings 11/16/2011 LAWLER CMP Comment: a few embeds left to be checked by special inspector, then okay to pour 1110 - B -Foundation Wall 11/22/2011 STEINIKE PAR Comment: Ok pending special inspection reports . 1110 - B -Foundation Wall 12/06/2011 LAWLER CMP Comment: 1112 - B -Foundation Drainage 11/28/2011 LAWLER CMP Comment: 1114 - B -Isolated Footings/Piers 11/18/2011 LAWLER CMP Comment: 1118 - B -Slab Insulation 12/06/2011 LAWLER CMP Comment: 1120 - B -Plumb Ground Work 12/01/2011 LAWLER CMP Comment: 1122 - B -Duct Sealing & Support 02/06/2012 LAWLER PAR Comment: Above ceiling at public mercantile area 1122 - B -Duct Sealing & Support 02/16/2012 LAWLER CMP Comment: 3/12/2012 12:55:13 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 3 of 5 0 0 INSPECTION DATE INSPECTOR ACTION 1126 - B -Plumb Rough In 02/03/2012 LAWLER PAR Comment: All rough in plumbing approved except overhead line to SE hose bib 1126 - B -Plumb Rough In 02/10/2012 LAWLER CMP Comment: 1128 - B -Gas Test/Pipe 02/10/2012 LAWLER CMP Comment: 1130 - B-Equipment-Mech 02/16/2012 LAWLER PAR Comment: Pending commissioning report 1130 - B-Equipment-Mech 02/23/2012 LAWLER CMP Comment: 1132 - B -Exterior Sheathing 02/10/2012 LAWLER CMP Comment: 1134 - B -Exterior Gypsum Sheathing 02/10/2012 LAWLER CMP Comment: 1138 - B -Ceiling Grid 02/10/2012 LAWLER CMP Comment: 1142 - B -Framing 01/30/2012 LAWLER PAR Comment: Preliminary interior partition and soffit 1142 - B -Framing 02/10/2012 LAWLER CMP Comment: 1144 - B -Wall Insulation/Caulk 02/10/2012 LAWLER CMP Comment: 1148 - B -Ceiling Insulation/Caulk 02/10/2012 LAWLER CMP Comment: 1150 - B-Sheetrock Nail 02/10/2012 LAWLER CMP Comment: 1152 - B -Plumbing Final 02/16/2012 LAWLER CMP Comment: 1156 - B -Mechanical Final 02/23/2012 LAWLER CMP Comment: 1158 - B -Building Final 02/17/2012 LAWLER COR Comment: Obtain planning final approval. Special inspection for shelving Commissioning/balance report 1158 - B -Building Final 02/27/2012 LAWLER CMP Comment: 1955 - F -Extinguishers 02/24/2012 WESTFALL CMP Comment: 3/12/2012 12:55:13 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 4 of 5 INSPECTION _ DATE INSPECTOR ACTION 1975 - F -Fire Dept Inspection 02/24/2012 WESTFALL CMP Comment: 1980 - F -Addressing Visibility 02/24/2012 WESTFALL CMP Comment: 1985 - F -Fire Final 02/24/2012 WESTFALL CMP Comment: 2000 - P -Planning Final 02/27/2012 LIEN CMP Comment: Landscaping and building is per ADB approval. Approved by planning. 3000 - E -Project Asbuilts 02/17/2012 ZULAUF CMP Comment: received 3/12/2012 12:55:13 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 5 of 5 Ot EDpj •`�� SPECIALINSPECTION' AND TESTING AC12EEll�IENT r✓ -- U i Permit #: lblo - adro A D Project: tt.:l.� Prior to issuance of a per milt, thus form itiust be completed -ill. its entirety and rettavied to the Cily for approval: The completed font: mast have signatures of aamoipled'gatent. 6}► an parties. DUTIES AND M, PONSIBILITIES ,goetial losneetion Firtn.and Snectil Ina»octors: Tlie Speciatinspection firm o€'F(�n t;L'S51WAt' - fmyiCE w gQM0S I A/C' will perform special inspection fos the fallowing types of work (separate forms must be submitted if more. than one. firm Is to be employed): XReinforced Concrete 0 BolEing in:Concrete ❑ Prestressed Concrete Q S11ot6iete Cl Structural masonry . Structural Steel/Welding High Strength Bolting O Spray applied Fireproofing ❑ Smoke Control Systems ❑ Lateral Wood a StructurfilObservation X 3tadinglsoils ❑ Other ❑ Other ... . - All -individual inspectors to be employed on this project will be, WABO certified for the ,type of work they are to inspect. - lf'inspection is for work that is not obvered by the WABO categories, or the inspector is not WABO certifirKd, tt detailed resume oi~ifle inspector and fiiriia mi}st,be sitbmitteli. Tile resuale aYitrst dhow that:the inspector and the firm are qualified by education arid. experience to perform the work and testing required by the project design and specifications. The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions and addenda sheets will not be used for inspection, unless they have been approved by the City. Inspection records shall include: A daily record to be maintained on site, itemizing the inspections perfottned. Any nonconforming work shall be brought to the immediate attention of 'the contractor for resvlixtioil. A weekly report shall lie submitted to the City; detailing the inspections and testing performed, listing any nonconfotming work and resolutign of nonconforming iteans. A final report shall be submitter! to Elie building department. prior to the ! ertificate` of Occupancy being issued, This report will indicate that inspeotion and testing was completed in conformance with the approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must be detailed in the final report. C.LUserslji.versor\Appt)stallzmlWicrosotilWindo%rs�Tenipomry xnte 4 FileslContent.Outlool MKNRDFMpeciel rminspection ib.doc7/2i/201i. AUG '- 9 2011 DEVELC N �F EDMONDSECTR- Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector, The contractor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered unti l approval is given by the City inspector. + Building Department; The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall be responsible for approving "various stages of construction to be covered and for work to proceed. Design Prof essiouoIs: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include a schedule for inspection and testing. The arcbitect and/or engineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown on the revisions being perfiormed in the field. O, caner: The project owner, or the architect or engineer acting'as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or firm to perform in keeping with the requirements of the fBC, the approved plans and this document, may. void this agreement and the Building Official's approval of the special inspector. In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being.posted on the project until nonconforming items have been resolved. AC104ONVLEDGMENTS 1 have read and agree to comply with the terms and conditions of this agreement. Owner: +� r��GL Y 1<n�� ,eF,vn..SrY Signature Date'1 / Contractor: U•�1�+✓ - Signature Date'fA271l Arch./Eng-,l�C.ii 6�.i'- _Date: Si store Special Insp, Le Date: ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT - By: Date: C;1Usenljiveison%AppData\LocoPMimosoelwindoi"kTemporary tntcmd pitcs\Content.outiookkQQ)o4RDF8lspeciaf inspection f6rm.doa7al/2011 Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered until approval is given by the City inspector. Building Department: The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall be responsible for approving various stages of construction to be covered and for work to proceed. Design Prg& gionsls: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include it schedule for inspection and testing. The arobitect and/or engineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown on the revisions being performed in the field. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or firm to perform in keeping with the requirements of the IBC, the approved pians and this document, may void this agreement and the Building Official's approval of the special inspector. 1n such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS I have read and agree to comply with the terms and conditions of this agreement. Owner: 0 TbiL 4-"41P6Vn Trver Signature ,Z:;i c. Contractor: Signature Date 1 / Date: DateA/11---- 1�5� Special Insp. Signatur ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT. By: Date: C:1UsersljiversonlAppDatalLocallMicrosofAWindmvs%Temporary In1cmet Files%Content.outlooklQQKNRDPO Special inspection form.doc7al 2011 1�1 STATEMENT OF SPECIAL INSPECTIONS THE OWNER SHALL EMPLOY ONE OR MORE SPECIAL IN5PECTOR5 TO PROVIDE IN5PECTION5 DURING CONSTRUCTION. THE IN5PECTION5 - REQUIRED IN ACCORDANCE W/ THE 2006 IBC, 5ECTION 1704 - ARE SUMMARIZED BELOW. THE SPECIAL INSPECTION AGENCY SHALL SUBMIT A SCOPE OF SERVICES FOR APPROVAL PRIOR TO COMMENCING CON5TRUCTION. NO CON5TRUCTION 5HALL COMMENCE ON THE STRUCTURE UNTIL TH15 DOCUMENT HA5 BEEN APPROVED IN WRITING BY THE 5TRUCTURAL ENGINEER OF RECORD. IN ADDITION, THE SPECIAL IN5PECTION AGENCY SHALL SUBMIT QUALIFICATIONS OF EACH SPECIAL INSPECTOR THAT WILL BE PERFORMING THE WORK. THE SPECIAL IN5PECTOR SHALL SUBMIT IN5PECTION REPORT5 TO THE STRUCTURAL ENGINEER OF RECORD DURING CON5TRUCTION FOR VERIFICATION, INCLUDING A FINAL REPORT IN ACCORDANCE WITH 5ECTION 1 704.1 .2 OF THE 2006 IBC. THE SPECIAL INSPECTOR SHALL U5E THE LATE5T 155UE OF THE 5TRUCTURAL RECORD DRAWING5 FOR THE INSPECTION OF THE STRUCTURE. DO NOT U5E THE SHOP DRAWING5 FOR IN5PECTION PURP05E5. THE FOLLOWING L15T IDENTIFIES THE 5ECTION5 OF THE IBC CODE WHICH APPLY TO THI5 PROJECT. THE SPECIAL IN5PECTOR 5HALL ILLUSTRATE THEIR UNDER5TANDING OF THE SPECIAL IN5PECTION REQUIREMENTS BY IDENTIFYING APPLICABLE ITEM5 WITHIN EACH SECTION OF THEIR 5UBMITTAL. TABLE 1704.3 REQUIRED VERIFICATION AND INSPECTION OF STEEL CONSTRUCTION REFERENCED IBC YE VERIFICATION AND IN5PECTION CONTINUOUS PERIODIC STANDARD REFERENCE 5 NO N.A. 1 . Material verification of hi h-stren th bolts, nuts, and washers: a. Identification markings to conform to A5TM A5TM, A15C standards specified in the approved contract X 360, 5ection X documents. A3.3 b. Manufacturer's certificate of compliance required. X - X 2. Inspection of hi h-stren th boltm : a. Bearing -type connections. A15C 360, X Section M2.5 1704.3.3 X b. 5hp Critical Connections. A15C 360, X X 5ection M2.5 1704.3.3 X 3. Material verification of structural steel: a. Identification markings to conform to A5TM standards specified in the approved contract - - ASTM A 6 or 1708.4 X documents. A5TM A 568 b. Manufacturers' certified mill test reports. A5TM A 6 or - A5TM A 568 1708.4 X 4. Material verification of weld filler materials: a. Identification markings to conform to AWS standards specified in the approved contract _ _ A15C 360, X documents. Section M2.5 b. Manufacturer's certificate of compliance required. X 5. Inspection of welding: a: Structural 5teel 1) Complete and partial penetration X - AW5 D 1. 1 1 704.3.1 X groove welds. 2) Muti- ass fillet welds X - AW5 D 1 .1 1 704.3.1 X , 3) Sin le pass fillet welds > 5/1 G" X - AWS D I . 1 1 704.3.1 X 4) Sin le pass fillet welds <= 5/1 6" - AWS D 1. 1 1 704.3.1 X 5) Floor and roof deck welds - X I AWS D 1 .3 1 X G. Inspection of steel frame joint details for coin Nance with approved construction documents: a. Details such as bracinq and stjffenin . X - 1 704.3.2 X b. Member locations. X 1 704.3.2 X c. Application of Joint details at each X - 1704.3.2 1 X connection. STATEMENT OF SPECIAL INSPECTIONS THE OWNER SHALL EMPLOY ONE OR MORE SPECIAL INSPECTORS TO PROVIDE INSPECTIONS DURING CONSTRUCTION. THE INSPECTIONS - REQUIRED IN ACCORDANCE W/ THE 2000 IBC, SECTION 1704 - ARE SUMMARIZED BELOW. THE SPECIAL INSPECTION AGENCY SHALL SUBMIT A SCOPE OF SERVICES FOR APPROVAL PRIOR TO COMMENCING CONSTRUCTION. NO CONSTRUCTION SHALL COMMENCE ON THE STRUCTURE UNTIL THI5 DOCUMENT HAS BEEN APPROVED IN WRITING BY THE STRUCTURAL ENGINEER OF RECORD. IN ADDITION, THE SPECIAL INSPECTION AGENCY SHALL SUBMIT QUALIFICATIONS OF EACH SPECIAL INSPECTOR THAT WILL BE PERFORMING THE WORK. THE SPECIAL INSPECTOR SHALL SUBMIT INSPECTION REPORTS TO THE STRUCTURAL ENGINEER OF RECORD DURING CONSTRUCTION FOR VERIFICATION, INCLUDING A FINAL REPORT IN ACCORDANCE WITH SECTION 1704.1 .2 OF THE 2006 IBC. THE SPECIAL INSPECTOR SHALL USE THE LATEST I55UE OF THE STRUCTURAL RECORD DRAWINGS FOR THE INSPECTION OF THE STRUCTURE. DO NOT USE THE SHOP DRAWINGS FOR INSPECTION PURPOSES. THE FOLLOWING L15T IDENTIFIES THE SECTIONS OF THE IBC CODE WHICH APPLY TO THI5 PROJECT. THE SPECIAL INSPECTOR SHALL ILLUSTRATE THEIR UNDERSTANDING OF THE SPECIAL INSPECTION REQUIREMENTS BY IDENTIFYING APPLICABLE ITEMS WITHIN EACH SECTION OF THEIR SUBMITTAL. TABLE 1704.4 REQUIRED VERIFICATION AND IN5PECTION OF CONCRETE CONSTRUCTION VERIFICATION AND INSPECTION CONTINUOUS PERIODIC REFERENCED IBC YES NO N.A. STANDARD REFERENCE I . Inspection of reinforcing steel, including ACI 315: 3.5, restressm tendons, and placement. - X 7.1-7.7 1913.4 X 2. Inspection of reinforcing steel weldmg in AW5 D 1.4 accordance with Table 1704.3, Item 5b. ACI - X 318:3.5.2 3. Inspect bolts to be installed in concrete prior to and durmg placement of concrete X - - 191 1.5 X where allowable loads have been increased. 4. Verifying use of required design mix. 1904.2.2, X ACI 38: Ch. 4.5 . 2-5.4 1X 11913.3 5. At the time fresh concrete is sampled to A5TM C 172 fabricate specimens for strength tests, A5TM C 31 1913.10 perform slump, and air content tests, and X ACI 318: 5.6, X determine the temperature of the concrete. 5.8 G. Inspection of concrete and shotcrete placement for proper application techniques. 1913.6, Exclusions: X _ ACI 31$: 5.9- 1913.7, X Isolated concrete spread footings 5.10 1913.8 Slab -on- rade 7. Inspection for maintenance of specified ACI 3 18: curing temperature and techniques. X 5.1 1-5.13 19 13.9 X 8. Inspection of prestressed concrete: a. Application of prestressing forces. ACI 31 8: X . 18:20 X b. Grouting of bonded prestressmg tendons ACI 3 18: in the seismic-force-resistin s tem. X 18. 18.4 X 9. Erection of precast concrete members. ACI 318: Ch. X IG - X 10. Verification of m -situ concrete strength, prior to stressmg of tendons in post - tensioned concrete and prior to removal of X ACI 3 18: G.2 - X shores and forms from beams and structural slabs. I I . Inspect formwork for shape, location and dimensions of the concrete member being - X ACI3 18: X formed. 6. I . I W ��__Rii Information LI�ToBuiIdn ��•�• Tesffiw o February 15, 2012 City of Edmonds Building Division 121 – 5 Avenue North – 2"d Floor Edmonds, Washington 98020 RE: Permit No. RECEIVED F eR 15 2012 DEVELOPMENT SERVICES COUNTER We have completed the requested special inspections on the subject project. All work requiring special inspection was, to the best of this agency's knowledge, inspected and reported as specified on permit documents. Project Name: O'Reilly Auto Parts Store Project Address 23005 State Route 99 Permit No. We have completed the requested special inspections on the subject project. All work requiring special inspection was, to the best of this agency's knowledge, inspected and reported as specified on permit documents. • Reinforced Concrete • Compaction Testing of Soils • H.S.S. Bolts • Foundation sub -grade If there are any questions regarding this change please contact PSI at (425) 248-2400. Sincerely, r,JXL— Daniel Kuhn Branch/Project Manager